HomeMy WebLinkAboutApplication - Electrical PermitRevised 2020-10-30
Date
ELECTRICAL PERMIT APPLICATION FORM
Owner / Applicant: _____________________________________________________
Contractor:
Project Location:
Please Provide a Detailed Description of Work:
TYPE OF OCCUPANCY TYPE OF WORK SERVICE AND DEVELOPED AREA
Single Residential New Overhead Underground
Farm/Ranch Connection Only ft² m²
Manufactured/Mobile Home Other: _____________________________ Amps: Main Floor:
Oil and Gas Volts: 2nd Floor:
Skid Units Phase: Developed Basement:
Other: _____________________________ : Garage: Other:
The personal information required by the County of Newell application forms is collected under the authority of section 33(c) of the Alberta Freedom of Information and Protection of Privacy Act and will be protected under Part 2 of that Act and section 63 of the Safety Codes Act. It will be used for processing permit applications, issuing permits, safety codes complithe
Homeowner Declaration: By signing this application I hereby certify that I own/will own and Master Electrician’s Certification No.:
Permit Fee: $ SCC Levy: Issuing Officer’s Name:
Total Cost: $ ($4.50 or 4% of the permit fee maximum $560.00)
183037 Range Road 145 P.O. Box 130 Brooks, AB T1R 1B2
Phone: 403-362-3266 | www.countyofn ewell.ab.ca